Epidermolysis Bullosa is a set of genetically inherited
conditions affecting 1 in 17,000 of the population. A fault in a gene causes the skin to
be extremely fragile. The layers of the skin do not adhere properly and painful widespread
blisters occur very easily. These can lead to increasing disfigurement, disability and in
the most severe forms death in early childhood.
The different forms of EB are caused by molecular abnormalities (mutations) in many
genes encoding the proteins which provide the strength to hold the layers of the skin
together at the junction between the dermis and the epidermis, called the cutaneous
basement membrane.
The ability to readily and rapidly detect these mutations is important:
1. To be able to correlate genotype with phenotype. This will increase understanding of
the cellular mechanisms that cause skin fragility.
2. To allow the possibility of DNA - based pre-natal diagnosis to be more widely
available.
3. To provide a fundamental basis for the design of future gene therapy.
The present methods of detecting these mutations "sequencing" is slow, labour
intensive and severely limits the amount of work done.
The availability of an Automated DNA Sequencer, such as the AB1 PRISM 310, means that
more EB sufferers DNA samples can be screened and at a much faster rate. Productivity is
enhanced and more data of key relevance to EB sufferers and their families are
forthcoming.